| NPI | 1912067380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 10026) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 1179-0800) |
| 104100000X Social Worker (Licence: TX 12335) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 001158042479) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-07-03 |